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E-cigarette minimum legal sale age laws and traditional cigarette use among rural pregnant teenagers

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  • Pesko, Michael F.
  • Currie, Janet M.

Abstract

Teenagers under 18 could legally purchase e-cigarettes until states passed minimum legal sale age laws. These laws may have curtailed teenagers' use of e-cigarettes for smoking cessation. We investigate the effect of e-cigarette minimum legal sale age laws on prenatal cigarette smoking and birth outcomes for underage rural teenagers using data on all births from 2010 to 2016 from 32 states. We find that the laws increased prenatal smoking by 0.6 percentage points (pp) overall. These effects were concentrated in prepregnancy smokers, with no effect on prepregnancy non-smokers. These results suggest that the laws reduced cigarette smoking cessation during pregnancy rather than causing new cigarette smoking initiation. Our results may indicate an unmet need for assistance with smoking cessation among pregnant teenagers.

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  • Pesko, Michael F. & Currie, Janet M., 2019. "E-cigarette minimum legal sale age laws and traditional cigarette use among rural pregnant teenagers," Journal of Health Economics, Elsevier, vol. 66(C), pages 71-90.
    • Handle: RePEc:eee:jhecon:v:66:y:2019:i:c:p:71-90
    DOI: 10.1016/j.jhealeco.2019.05.003
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    7. Dhaval Dave & Bo Feng & Michael F. Pesko, 2019. "The effects of e‐cigarette minimum legal sale age laws on youth substance use," Health Economics, John Wiley & Sons, Ltd., vol. 28(3), pages 419-436, March.
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    Cited by:

    1. Jeff DeSimone & Daniel Grossman & Nicolas Ziebarth, 2023. "Regression Discontinuity Evidence on the Effectiveness of the Minimum Legal E-cigarette Purchasing Age," American Journal of Health Economics, University of Chicago Press, vol. 9(3), pages 461-485.
    2. Abouk, Rahi & Courtemanche, Charles & Dave, Dhaval & Feng, Bo & Friedman, Abigail S. & Maclean, Johanna Catherine & Pesko, Michael F. & Sabia, Joseph J. & Safford, Samuel, 2023. "Intended and unintended effects of e-cigarette taxes on youth tobacco use," Journal of Health Economics, Elsevier, vol. 87(C).
    3. Donald S. Kenkel & Sida Peng & Michael F. Pesko & Hua Wang, 2020. "Mostly harmless regulation? Electronic cigarettes, public policy, and consumer welfare," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1364-1377, November.
    4. Michael F. Pesko & Casey Warman, 2022. "Re‐exploring the early relationship between teenage cigarette and e‐cigarette use using price and tax changes," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 137-153, January.
    5. Anna E. Tuchman, 2019. "Advertising and Demand for Addictive Goods: The Effects of E-Cigarette Advertising," Marketing Science, INFORMS, vol. 38(6), pages 994-1022, November.
    6. Lauren Hoehn-Velasco & Michael F. Pesko & Serena Phillips, 2023. "The Long-Term Impact of in Utero Cigarette Taxes on Adult Prenatal Smoking," American Journal of Health Economics, University of Chicago Press, vol. 9(4), pages 605-648.
    7. Michael F. Pesko & Charles J. Courtemanche & Johanna Catherine Maclean, 2019. "The Effects of Traditional Cigarette and E-Cigarette Taxes on Adult Tobacco Product Use," NBER Working Papers 26017, National Bureau of Economic Research, Inc.
    8. Cotti, Chad & Courtemanche, Charles & Maclean, Joanna Catherine & Nesson, Erik & Pesko, Michael F. & Tefft, Nathan W., 2022. "The effects of e-cigarette taxes on e-cigarette prices and tobacco product sales: Evidence from retail panel data," Journal of Health Economics, Elsevier, vol. 86(C).
    9. Michael F. Pesko, 2023. "Effects of e-cigarette minimum legal sales ages on youth tobacco use in the United States," Journal of Risk and Uncertainty, Springer, vol. 66(3), pages 261-277, June.
    10. Leah K. Lakdawala & David Simon, 2016. "The Intergenerational Consequences of Tobacco Policy," Working papers 2016-27, University of Connecticut, Department of Economics.
    11. Lauren Hoehn-Velasco & Michael F. Pesko & Serena Phillips, 2023. "The Long-Term Impact of in Utero Cigarette Taxes on Adult Prenatal Smoking," American Journal of Health Economics, University of Chicago Press, vol. 9(4), pages 605-648.
    12. Michael F. Pesko & Charles J. Courtemanche & Johanna Catherine Maclean, 2020. "The effects of traditional cigarette and e-cigarette tax rates on adult tobacco product use," Journal of Risk and Uncertainty, Springer, vol. 60(3), pages 229-258, June.
    13. Rahi Abouk & Scott Adams & Bo Feng & Johanna Catherine Maclean & Michael F. Pesko, 2019. "The Effect of E-Cigarette Taxes on Pre-pregnancy and Prenatal Smoking," NBER Working Papers 26126, National Bureau of Economic Research, Inc.
    14. Carrieri, Vincenzo & Jones, Andrew M., 2018. "Intergenerational transmission of nicotine within families: Have e-cigarettes influenced passive smoking?," Economics & Human Biology, Elsevier, vol. 31(C), pages 83-93.

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    More about this item

    Keywords

    Prenatal smoking; Electronic nicotine delivery systems; E-cigarettes; Purchasing age laws; Tobacco control; Birth outcomes;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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